A Painful Immobile Shoulder
Niklas Damberg, Wesley Eilbert · 2026
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Description
Niklas Damberg and Wesley Eilbert presented in 2026 an emergency case of a rare shoulder dislocation with the arm locked overhead. A 54-year-old woman fell forward while opening a window, loading her raised arm. She arrived unable to move the arm down from above her head. An X-ray confirmed the joint had dislocated downward, a pattern called luxatio erecta.
Downward dislocation accounts for only a tiny fraction of all shoulder dislocations in the literature cited. Fractures near the joint, nerve injury, and rotator cuff tears accompany the injury in many reported cases. Blood vessel injury occurs in a minority, most often involving the main arm artery. Most cases, including this woman's, can be returned to place with a traction and counter-traction manoeuvre without surgery. A sling holding the arm against the chest follows successful reduction in standard care.
Catalog record
| CREATOR | Niklas Damberg, Wesley Eilbert |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |